How can I manage my throat bump and irritation?

Question

Hello doctor,

I have a bump in the throat. It is hard and not painful, and my mouth looks white. I looked on the internet and was scared of mouth cancer.

Other symptoms I had were pain in the throat for a couple of days, but that has gone away quickly with gargling. I also have reflux (I am going to the specialist in two weeks). My tonsils have been removed, and I do not have any. Currently, I am taking Omeprazole.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

The posterior pharyngeal wall has some enlarged and congested nodules (attachment removed to protect patient identity). It could be due to chronic pharyngitis. Continue the reflux medicine, and when any pain occurs, take a decongestant and Claritin (Loratadine).

I hope this information helps you.

Feel free to reach out in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

A unilateral lump is one of the presentations of cancer. But in you, I would suspect an infection. This is because of the findings as well as the symptoms. A sore throat with redness and increased vascularity inside the throat is mostly due to infection.

Infection can result in whitish secretions that coat the tongue and give a white appearance. The lump can also be due to infection. I would suggest, if you were to come to me, to take an Azithromycin tablet 250 mg one tablet twice daily on an empty stomach, with a tablet Claritin once daily taken at bedtime.

If there is a lot of mucus, you would need N-Acetylcysteine or Ambroxol hydrochloride. If any pain or fever occurs, then you may take Paracetamol 650 mg SOS.

The lump is not worrisome. It appears due to infection. If it does not resolve with the medicines, then we can take a small biopsy and send it for histopathological examination. The biopsy will be done in the office itself.

I hope this information helps you.

Feel free to reach out in case of further queries.

Thank you.